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埋藏于胃黏膜中的硬币。

Buried coin in the gastric mucosa.

作者信息

Tan Dominic Ti Ming, Phan Yih Chyn, Leung Edmund

机构信息

College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.

County Hospital Hereford, Hereford, United Kingdom.

出版信息

BMJ Case Rep. 2019 Jan 14;12(1):bcr-2018-227622. doi: 10.1136/bcr-2018-227622.

Abstract

A 29-year-old man presented to the Accident and Emergency department with abdominal cramping following ingestion of a 50 p coin 2½ weeks prior to presentation. He had not observed it pass in his stools. An abdominal radiograph confirmed the presence of the 50 p coin in his stomach. Subsequently, he had an oesophagogastroduodenoscopy (OGD) performed with a failure to visualise the coin. 1½ weeks later, he returned to the department as he was still unable to observe its passing in his stools. A repeated abdominal radiograph and a CT of the abdomen and pelvis revealed that the coin was still in his stomach. A second OGD was performed once again with a failure to visualise the coin. It appeared that the coin had migrated into his gastric mucosa.

摘要

一名29岁男性在摄入一枚50便士硬币2.5周后因腹部绞痛前往急诊部就诊。他未观察到硬币随粪便排出。腹部X光片证实硬币在其胃内。随后,他接受了食管胃十二指肠镜检查(OGD),但未能看到硬币。1.5周后,他再次回到该科室,因为他仍未观察到硬币随粪便排出。再次进行的腹部X光片以及腹部和盆腔CT显示硬币仍在他的胃里。再次进行了第二次OGD,还是未能看到硬币。看起来硬币已迁移到他的胃黏膜中。

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本文引用的文献

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Management of ingested foreign bodies and food impactions.摄入异物及食物嵌塞的处理
Gastrointest Endosc. 2011 Jun;73(6):1085-91. doi: 10.1016/j.gie.2010.11.010.
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Guideline for the management of ingested foreign bodies.异物摄入管理指南。
Gastrointest Endosc. 2002 Jun;55(7):802-6. doi: 10.1016/s0016-5107(02)70407-0.
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Case report of sideroblastic anemia caused by ingestion of coins.因吞食硬币导致铁粒幼细胞性贫血的病例报告。
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